BASIC EMT Fall 2015 SUNY Canton, Wicks Hall 102 Monday & Wednesday 6:30-9:30 p.m. Saturday 9 a.m. 12 noon & 1 4 p.m. Instructor: Chris Miller

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1 BASIC EMT Fall 2015 SUNY Canton, Wicks Hall 102 Monday & Wednesday 6:30-9:30 p.m. Saturday 9 a.m. 12 noon & 1 4 p.m. Instructor: Chris Miller TEXT - Emergency Care by Brady, 12th edition PLEASE NOTE: Starting with the fall 2012 Basic EMT classes, there are now pre-requisites or co-requisites that are required for each student to complete. These requirements are the following three NIMS and Hazmat Awareness classes, IO-100, IO-700, and I0-05 Introduction to Hazardous Materials. Certificate copies of these three courses MUST be submitted prior to the practical skills exam. Website is Aug. 24, Mon 1 Registration & Introduction, Course Expectations and Requirements, ER Observations Requirements, Review of State Protocol Booklet, Begin Module 1 Roles and Responsibilities of the EMT; Infectious Control and OSHA Regulations. Chapters 1, 2 Aug. 26, Wed. 2 Anatomy, Physiology, & overview of human systems; Medical Terminology; EMT and the Law and the legal issues that present to the EMT; DNRs and MOLST forms. Discuss blood borne pathogens which will include the different communicable diseases and how they are transmitted; infection control Chapters 4, 5 Aug. 29, Sat. 3 Begin Module 2 - Anatomy of the airway and the mechanics of respiration. Practical Use of Airway Adjuncts; demonstrate and explain the uses of oral and nasopharyngeal airways; suction units and techniques of suctioning; types of O2 tanks and oxygen delivery devices; the use of the pock mask and BVM, power assisted ventilators, use by Basic EMT with ALS airway devices. Demonstrate the correct application for each in preparation for the skills tests. (Skill Station 3, 4A, 4B) Chapters 8, 9 Aug. 31, Mon. 4 Begin Module 3 Discuss the components of Scene Size-up; Continue with airway presentation which is to be followed with student use of the airway equipment and practice of oxygen therapy equipment. Students need to bring their own pocket masks. (Practice Skill Station 3, 4A, 4B) Chapter 10 Sept. 2, Wed. 5 This class will begin at 6:00 pm. CPR - Basic Life Support AHA; Adult Rescue Breathing, Choking & CPR; Two-man CPR; Use of the Pocket Mask This course will be run in two sessions: a complete course for anyone who is not currently certified in CPR and for those who are refreshing or need to have their skills reviewed by the instructor. (Skill Station 2) Test on Monday (All students must have their CPR skills evaluated by the instructor. This is a state requirement.) Appendix B Sept. 7, Mon 6 Life Span and Pathophysiology. All students will be required to take a written test upon completion of the CPR unit as this is a state requirement. Chapters 6, 7 Sept 9, Wed. 7 Primary Assessment; Ongoing Pt. Assessment; Discuss the four vital signs and

2 demonstrate how to perform and obtain each; definition of baseline set of vitals; other diagnostic signs such as pupil reactions & skin color. Understand and using SAMPLE. May wish to bring own stethoscope & Bp Cuff. Chapters 11, 12 Sept 12, Sat. 8 & 9 Lifting & Moving; this lesson will involve hands on participation by the class in twoperson and three-person lifting; moving non-cervical injured patients; use of back boards; spinal immobilization and moving to the backboard; use of spiders vs. straps; demonstration of the scissors or scoop and the use of the Stokes basket. (Practical Skills Station 5A) Class will go until 1:00. Chapter 3 Sept 14, Mon. 10 Secondary assessment for both the trauma and medical patient; Reassessment; Critical Thinking and Decision Making Chapters 13, 14, 16 Sept 16, Wed. 11 Patient Communications & Radio Procedures; Documentation and Writing the Prehospital Care Report (PCR) and epcr. Chapter 17 Sept. 21, Mon. 12 Practical skills review of: Back Boarding; Use of Oxygen Therapy Equipment; PCR Documentation; Primary Assessment and taking of Vital Signs for the first 2 hours. (Skill Station Practice). Unit TEST 1 on Chapters 1-14, 31, 32 (except chapter 11). This is an all multiple choice questions and answers are to be done in pencil. (It is easier to correct your mistakes!!) Sept. 23, Wed. 13 Begin Module 4 Medical Emergencies I Respiratory illnesses such as emphysema, chronic bronchitis, asthma & hyperventilation. Begin Cardiac Emergencies Signs & Symptoms of heart attack, risk factors, anatomy of the heart, electrical activity of the heart, discuss normal sinus, Ventricular Fibrillation and Ventricular Tachycardia and the significance for the use of the AED. (Skill Station 2), Chapter 19, 20 Sept. 28, Mon. 14 Medical Emergencies II Continue cardiovascular emergencies. Include discussions on CHF, AICD, pacemakers, and causes of irregular pulses. Demonstrate the LUCUS tool (Thumper Russell & Hermon Rescue will do this) Chapter 20 (Hospital observation can begin at this time if all health requirements have been fulfilled). Sept 30, Wed. 15 Will Cover Diabetes, Altered Mental Status & Stroke, Anaphylaxis (allergic reactions), Poisonings & Drug Overdoses. Chapters 21, 22, 23 Oct. 3, Sat. 16 Medical Emergencies III Environmental Emergencies & Cold Water Drowning; General Pharmacology including obtaining a blood glucose reading; Role of the EMT in assisting with medications; Behavior Emergencies; Acute Abdomen. Chapters 18, 25, 33 Oct. 5, Mon. 17 Obstetrics, Emergency Child birth & Child birth Complications; View Video on Childbirth. Chapter 26, 34 Oct. 7, Wed. 18 Hematological and Renal Emergencies Abdominal Emergencies; Burns (slide show

3 will accompany the lecture on burns). Chapters 24 Oct 12, Mon. 19 Begin Module 5 Bleeding Emergencies & Shock; Soft Tissue Injuries; Use of the MAST Trousers; Application of dressings and bandages and techniques to control bleeding. (Skill Station 4C) Chapter 27, 28 Oct. 14, Wed. 20 Practice bandaging, use of tourniquets. Practice Skill Station 4C on Bleeding and Shock; Unit TEST 2. This test will cover all material on medical emergencies Oct. 17, Sat. 21 & 22 Morning session: Injuries to the Head, Neck, Spine, Face & Eye; anatomy and physiology of the nervous system; signs and symptoms of spinal fractures; general rules of caring for the patients with spine injuries and injuries to the face and cranium. Demonstrate the application of cervical collars, KED and application of immobilization to a backboard. (Skill Station 5A) Chapter 31 Afternoon session - Lecture and demonstration of nebulized albuterol, regional protocols, regional agreement, protocol exam & practical skills Oct. 19, Mon. 23 Injuries to the Chest, Abdomen, & Genitalia; parts & functions of the abdominal organs, locations, digestive & genitourinary systems; chest, abdomen, & genitalia injuries and treatments. Chapter 29 Oct. 21, Wed. 24 Principles of Musculoskeletal Care: (Skill Stations, 6A, B, C) anatomy and physiology of the musculoskeletal system; definitions and types of fractures and dislocations; examination for injuries; techniques of immobilizing fractures, sprains, and dislocations. This lecture will encompass both the upper and lower extremities, demonstration of splinting of long bones, dislocations and traction splinting; show X- rays of fractures. Chapter 30 Oct. 26, Mon. 25 Patient Assessment of the trauma patient and practice performing patient assessment on a traumatized patient; multiple systems trauma. (Skill Station 1B) Chapters 13, 15, 32 Oct. 28, Wed. 26 Pt. Assessment lab of the trauma patient continued. (Skill Station 1B Practice) Oct. 31, Sat. 27 & 28 Morning Session: Practice skills session on splinting of long bones, traction splinting, sprains and dislocations, Bleeding & Shock, AED and Cardiac Arrest, Spinal Immobilization Seated (KED). (Skill Station Practice 6A, 6B, 6C) Afternoon Session: Patient Assessment of the medically ill patient and practice to identify the medical problem and to treat as such. (Skill Station 1 A Practice) Chapters 14, 16 Nov. 2, Mon. 29 Patient Assessment of the medical patient continued. (Skill Station 1A Practice) Nov. 4, Wed. 30 Practical Skills for Patient Assessment of both the medical and trauma patient (Skill Stations 1A, 1B Practice)

4 Nov. 9, Mon. 31 Module 6 - Pediatric Emergencies - Medical and Trauma; Child Abuse Chapter 35 Nov. 11, Wed. 32 Practical Lab review of pediatric skills. This will include hands-on use of pediatric immobilization in car seats, removal from car seat with spinal precautions, use of Pediboards, and immobilization by use of KED. Medical emergencies to include the use of pediatric NC and NRB and blow-by techniques Nov. 14, Sat. 33 & 34 Module 7 - Vehicle Extrication - This class will be done on campus behind Cooper, bear right at the top of the hill and take first right into Cooper Building. Please park around to the back. All participants MUST be in turnout gear in order to participate in using the extraction tools and tearing apart the vehicles. Extra turnout gear will be available for those who do not have any. Afternoon session includes rapid extrication and application of the KED to remove patients from the wrecked car. This is an all-day session that concludes around 3pm Chapter 40 Nov. 16, Mon. 35 Geriatric Emergencies. Emergencies of Special Challenges Chapters 36, 37 Nov. 18, Wed. 36 Ambulance Operations -- Safe Operations, Vehicle & Traffic Laws pertaining to Ambulance Driving, Helicopter Rescue, Stress Management (CISD) Chapters 38 Monday Nov Thanksgiving Break Classes will resume on Monday Nov. 30th Nov. 23, Mon. 37 Mass Casualty Incidents (MCI); Smart Triage; & Weapons of Mass Destruction. Chapters 39 Nov 30, Mon. 38 Hazardous Material Incidents (video tape); EMS Response to Terrorism. Chapter 41 Dec. 2, Wed. 39 & 40 Morning Session: Practical Lab Skills Station Review of Random Skills; BVM & Apneic patient; (Skill Stations 3, 4, 6) Afternoon Session: Unit TEST 3 - This test will cover the remaining chapters in the book not tested on the previous two unit tests. We will go over this test during the first night of test question review. Dec. 5, Sat. 41 Practical Skills Review Back boarding and KED, Spinal immobilization; Cardiac Arrest & AED (Skills Stations 2, 5) Dec. 7, Mon. 42 Practical Skills Review: Both patient assessment skill stations. (Skills Station 1) Completion of all ER Observations, ambulance ride-along hours, and 3 prerequisite NIMS courses need to be completed by this date. THESE ARE STATE REQUIREMENTS TO ENTER THE PRACTICAL SKILLS EXAM. Dec. 9, Wed. 43 NYS EMS Final Practical Skills Exam - One half of the class will test this evening beginning at 6 p.m. (Dependent upon class enrollment). Those who need to

5 retest a station a third time will do so Saturday morning. Dec 12, Sat. 44 NYS EMS Final Practical Skills Exam Second half of the class will test at 6pm (dependent on class enrollment). Those who need to retest a station a third time will do so Monday evening. Dec 14, Mon. 45 Test review questions for the final exam. Back to regular class time at 6:30 p.m. (Retest from Saturday s practical final will be done this date for anyone who needs it.) Dec. 16, Wed. 46 Test Question Review - We will review additional test questions this evening. Dec. 17, Thurs. 47 NYS EMS Final Written Test in Wicks Hall 102. The test begins at 7 p.m. and everyone is to be in the classroom at 6:30 as the proctors must have each of you present a picture ID and sign in one at a time. You are given 2.5 hours to complete this test. If you arrive late, you sacrifice the time missed. Once anyone leaves the testing area, no one is allowed to enter who arrives late. The test is110 multiple choice questions with ten questions being experimental questions.